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Instructions for Registration/Enrollment

Registration consists of two parts:

  1. course information
  2. payment: we accept checks and the following:
    We accept bank cards, Visa, Mastercard, American Express, Discover, and Paypal.

You must complete both parts to be fully enrolled in the course.

A payment / invoice link is sent via email to you after entering your course information so that you can pay later.

Invoice Options

Do you need an invoice before you can pay? Click/tap the Continue button after entering your course information and look for the Get an Invoice button.

You will receive an invoice via email.

Who is paying?

You can have someone else pay for the course after you fill out your course information. You will be sent an email with a payment/invoice link. You can forward the payment/invoice link to the person who needs to pay.

You will automatically be registered once they pay.


Participant Agreement (opens in new tab/window)

By registering, you agree to these terms.

Your Name and Identification

If you have registered with us before and have changed your name, please let us know your previous name in the Notes area at the end of this form so that we can keep your course records together.

(*) = required field

Please enter your first name.
Please enter your last name.
We use your date of birth for identification purposes to award you contact hours/CEUs.
Please enter your date of birth.
Please choose a class time.
Please choose an option


Would you enter the names of the people you are registering with?

Contact/Shipping Information

We need to know where to ship your class materials and which email address to use for the course.

If you are entering information for another person, make sure that this is their information.

(*) = required field

Please enter a valid email address.

  • If you need to share this registration and payment link with someone else, or
  • if you have trouble receiving emails with the email address you used above (ex. a work email account),

enter an alternate email below. This will only send a copy of this registration and payment link. It will not be used for any other purposes.

Please enter a valid email address.
Please enter a valid phone number. Only these special characters are allowed: . - + ( )
Please choose a country
United States Postal Service Eagle Logo

United States is selected. We will ship your materials via United States Postal Service Priority Mail. This includes all US territories, APOs, DPOs, and FPOs.

Make sure that USPS can deliver to the shipping address you provide below. You can choose a home address. It has nothing to do with credit card addresses or billing addresses.

UPS logo

We will ship your materials via UPS.

Important! Make sure that UPS can deliver to the shipping address you provide below.

It can be a home address.

Please enter your mailing address.
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Please enter your city or locality.

If you are seeing multiple state/province fields, please ignore the extra fields and just fill in the option that applies to your address and country. We apologize for the inconvenience.

Please enter your state, province, or territory.
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Please enter a postal code. If your address does not have codes, enter '--'.

If you have any extra instructions or concerns (ex. you need us to send your materials addressed to someone else), please put them in the Notes area under the Other Information page at the end of this form.

Study Questions

Would you like to receive our free weekly study questions?

(*) = required field

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Check any new types of questions you would like to receive.
Please choose at least one question set to receive.

If you choose to receive study questions, Bowen Learning Network, Inc. will use the information you provide in this form to send you study questions and to provide marketing about our upcoming offerings via email. This information is not shared with any 3rd party for any other purposes.

You can change your mind at any time by clicking the unsubscribe link in the footer of any study question email you receive from us or by contacting us at [email protected]. By clicking the Continue button at the end of this form, you agree that we may process your information in accordance with these terms.

We use MailChimp as our marketing automation platform. By submitting this form, you acknowledge that your name, email address, and country will be transferred to MailChimp for processing in accordance with their Privacy Policy and Terms.

Other Information

(*) = required field

How did you hear about our training?
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Anything Else?

Have something else that you need to tell us? Please use the Notes section below.

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